MEDICARE: MISKI B OSMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	MG61246598	WA
2	101YM0800X	Mental Health Counselor	CG61128094	WA

General Provider Information

NPI Number	:	1134719123
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISKI B OSMAN

Provider Business Mailing Address
First Line	:	907B THOMAS AVE SW
Second Line	:
City	:	RENTON
State	:	WA
Zip	:	98057-2931
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6100 SOUTHCENTER BLVD STE 210
Second Line	:
City	:	TUKWILA
State	:	WA
Zip	:	98188-2442
Country	:	US
Telephone Number	:	206-218-2059
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2021
Last Update Date	:	02/08/2026

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Directions to “ MISKI B OSMAN ” Practice Location

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